DR. NANELLE LAVINIA JONES-SULLIVAN (NPI# 1396819561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396819561 |
| Entity Type | Individual |
| Full Name | DR. NANELLE LAVINIA JONES-SULLIVAN |
| Credential | M.D. |
| Practice Address |
1119 E Monte Vista Ave Vacaville CA 95688-3009 |
| Mailing Address |
218 Santa Cruz Ct Vacaville CA 95688-3559 |
| Practice Telephone | 7074694540 |
| Mailing Telephone | 7076852061 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G64660 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G64660 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1119 E MONTE VISTA AVE |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194760025 | Gail D Feinberg | Family Medicine | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2006-06-17 |
| 1558804450 | Naysan Malakouti | Student in an Organized Health Care Education/Training Program | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2016-11-23 |
| 1528500584 | Celia Maria Sanchez | Community Health Worker | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2016-11-08 |
| 1124494646 | William Roger Davis | Family Medicine | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2015-08-19 |
| 1932446598 | Hannah Crowl | Nurse Practitioner | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2013-01-15 |
| 1245536945 | Mike Van Huynh | Registered Nurse | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2011-01-28 |
| 1265741003 | Vickie Williams | Marriage & Family Therapist | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2010-09-28 |
| 1033374715 | Conrad Frederic Schoenwald | Family Medicine | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2008-07-22 |
| 1366626376 | Zosima B Inton | Registered Nurse | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2007-12-27 |
| 1114121308 | Joy Elizabeth Muraki Castrejon | Social Worker | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2007-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861564692 | Cheyenne Xiao He | Psychiatry & Neurology | 1 Quality Dr, Vacaville, CA 95688-9494 | 2006-11-15 |
| 1861570681 | Paul L. Wyman | Psychiatry & Neurology | 1 Quality Dr, Vacaville, CA 95688-9494 | 2006-11-01 |
| 1134207962 | Farzaneh Dokhani | Psychiatry & Neurology | 1 Quality Dr, Vacaville, CA 95688-9494 | 2006-11-01 |
| 1952489791 | Joanne M. Loritz | Psychiatry & Neurology | 1 Quality Dr, Vacaville, CA 95688-9494 | 2006-11-01 |
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| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.